对初产妇进行心理干预的临床作用探索

Exploration of the Clinical Role of Psychological Intervention to Primipara

目的观察在妇产科开展心理干预对产妇的影响,探讨其临床运用价值。方法对实验组100例住院待产孕妇(胎位异常除外)进行心理干预,对照组100例住院待产孕妇不进行心理干预,只按照常规护理程序进行护理。观察比较两组待产孕妇的情况,记录产程时间及产时出血量。结果实验组中总产程、第一产程、第二产程时间短于对照组,差异有统计学意义(p<0.01);第三产程无显著性差异。实验组中产时出血量低于对照组,差异有统计学意义(p<0.01)。结论在产科护理的实施过程中通过对初产妇进行心理干预,能够改善医患关系,为待产孕妇造成一个易于接受治疗、保持合作的最佳心理状态,并且孕妇产程时间明显缩短,产时出血量也显著减少,值得临床推广运用。

Objective： This article discusses the impact of psychological intervention on primipara to explore the value of its clinical use in obstetrics and gynecology. Methods： Experiment on a group of 100 cases of hospitalized expectant women （except for abnormal fetal） with psychological intervention compared with 100 cases without it but in accordance with the routine care procedures. Observe the two groups and record labor time and amount of bleeding. Result： The total of labor time in the experimental group as well as tbe first stage and second stage is shorter than the latter group and the difference is statistically significant （p〈0.O1）; There is no significant difference in the third stage of labor. The amount of bleeding in the experimental group is less than the latter group, and the difference was also statistically significant （p 〈0.01）. Conclusion： Primipara psychological interventions can improve doctor-patient relationship, create the best state of mind for expectant women to receive treatment and maintain cooperation in the implementation process of obstetric care, with the labor time significantly shorter and the amount of intrapartum bleeding greatly reduced, which is worthy of clinical use.